MEDICARE: KOMIL PHARMACY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1689471757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOMIL PHARMACY INC.

Provider Business Mailing Address
First Line	:	3876 10TH ST
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-6112
Country	:	US
Telephone Number	:	347-396-5042
Fax Number	:

Provider Business Practice Location Address
First Line	:	3876 10TH ST
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-6112
Country	:	US
Telephone Number	:	347-396-5042
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KOMILJON URAZBADALOV
Credential	:
Telephone Number	:	347-396-5042

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	02/26/2025

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